Abstract：
BACKGROUND: Medical careers increase infertility risks and pregnancy complications. Residents often postpone pregnancy, contributing to these risks. Limited data exist regarding residents\' family planning concerns. This study aims to evaluate fertility concerns and family planning during residency via a survey of residents and attending physicians.
METHODS: Anonymous online surveys were distributed to all residents (n = 1030) and attending physicians (n = 1111) at a large, urban, single-campus academic hospital center. Data analysis was performed using chi-square analysis with significance at P < 0.05.
RESULTS: Two hundred nine residents and 111 attendings submitted responses. Most respondents were female (74.7%). Slightly more than one-quarter of respondents were from a surgical specialty (26.6%). Residents compared to attending physicians indicated a higher concern for infertility during (57.4% versus 38.3%, P = 0.006) and after residency (68.9% versus 51.9%, P = 0.011) and a greater concern about pregnancy complications (67.8% versus 38.0%, P < 0.001). Most respondents felt pregnancy could negatively affect their training (67.3%). Surgical respondents were more concerned about the negative effects on colleagues (68.8% versus 51.1%, P = 0.045). Residents considered oocyte preservation more (57.9% versus 20.3%, P < 0.001). Respondents in surgical specialties had more concerns for fertility after residency (72.6% versus 57.9%, P = 0.033). Those in surgical fields trended for consideration of oocyte preservation (53.4% versus 39.7%, P = 0.084). Most respondents reported a need for education on oocyte preservation during residency (94.5%).
CONCLUSIONS: Residents have increasing concerns about fertility and family planning related to their training. In addition to more institutional and residency program support, residents desire dedicated fertility and family planning education, such as oocyte preservation, as part of their curriculum.
METHODS: Anonymous online surveys were distributed to all residents (n = 1030) and attending physicians (n = 1111) at a large, urban, single-campus academic hospital center. Data analysis was performed using chi-square analysis with significance at P < 0.05.
RESULTS: Two hundred nine residents and 111 attendings submitted responses. Most respondents were female (74.7%). Slightly more than one-quarter of respondents were from a surgical specialty (26.6%). Residents compared to attending physicians indicated a higher concern for infertility during (57.4% versus 38.3%, P = 0.006) and after residency (68.9% versus 51.9%, P = 0.011) and a greater concern about pregnancy complications (67.8% versus 38.0%, P < 0.001). Most respondents felt pregnancy could negatively affect their training (67.3%). Surgical respondents were more concerned about the negative effects on colleagues (68.8% versus 51.1%, P = 0.045). Residents considered oocyte preservation more (57.9% versus 20.3%, P < 0.001). Respondents in surgical specialties had more concerns for fertility after residency (72.6% versus 57.9%, P = 0.033). Those in surgical fields trended for consideration of oocyte preservation (53.4% versus 39.7%, P = 0.084). Most respondents reported a need for education on oocyte preservation during residency (94.5%).
CONCLUSIONS: Residents have increasing concerns about fertility and family planning related to their training. In addition to more institutional and residency program support, residents desire dedicated fertility and family planning education, such as oocyte preservation, as part of their curriculum.
摘要：
背景：医疗职业增加了不孕风险和妊娠并发症。居民经常推迟怀孕，助长这些风险。关于居民计划生育问题的数据有限。这项研究旨在通过对居民和主治医生的调查来评估居住期间的生育问题和计划生育。
方法：匿名在线调查分发给所有居民（n=1030）和主治医生（n=1111），城市,单校区学术医院中心。使用卡方分析进行数据分析,P<0.05具有显著性。
结果：二百九名居民和111名出席者提交了答复。大多数受访者是女性（74.7%）。略多于四分之一的受访者来自外科专科（26.6%）。与主治医生相比，居民对不孕症的关注度更高(57.4%对38.3%，P=0.006)和居留后(68.9%对51.9%，P=0.011）和对妊娠并发症的更大关注（67.8％对38.0％，P<0.001)。大多数受访者认为怀孕会对他们的培训产生负面影响(67.3%)。手术受访者更担心对同事的负面影响(68.8%对51.1%，P=0.045)。居民认为卵母细胞保存更多(57.9%对20.3%，P<0.001)。外科专业的受访者在住院后对生育能力有更多的担忧(72.6%对57.9%，P=0.033)。那些在手术领域倾向于考虑保存卵母细胞（53.4％对39.7％，P=0.084）。大多数受访者表示在居住期间需要进行卵母细胞保存方面的教育（94.5％）。
结论：居民越来越担心与培训有关的生育和计划生育。除了更多的机构和居住计划支持，居民希望有专门的生育和计划生育教育，如卵母细胞保存，作为他们课程的一部分。
方法：匿名在线调查分发给所有居民（n=1030）和主治医生（n=1111），城市,单校区学术医院中心。使用卡方分析进行数据分析,P<0.05具有显著性。
结果：二百九名居民和111名出席者提交了答复。大多数受访者是女性（74.7%）。略多于四分之一的受访者来自外科专科（26.6%）。与主治医生相比，居民对不孕症的关注度更高(57.4%对38.3%，P=0.006)和居留后(68.9%对51.9%，P=0.011）和对妊娠并发症的更大关注（67.8％对38.0％，P<0.001)。大多数受访者认为怀孕会对他们的培训产生负面影响(67.3%)。手术受访者更担心对同事的负面影响(68.8%对51.1%，P=0.045)。居民认为卵母细胞保存更多(57.9%对20.3%，P<0.001)。外科专业的受访者在住院后对生育能力有更多的担忧(72.6%对57.9%，P=0.033)。那些在手术领域倾向于考虑保存卵母细胞（53.4％对39.7％，P=0.084）。大多数受访者表示在居住期间需要进行卵母细胞保存方面的教育（94.5％）。
结论：居民越来越担心与培训有关的生育和计划生育。除了更多的机构和居住计划支持，居民希望有专门的生育和计划生育教育，如卵母细胞保存，作为他们课程的一部分。
